Talk:Type 2 diabetes

Management of Diabetes through Dental Care

Hey guys, I would like to ask you to add and edit the sections "Complications" and "Management" with some core information about dental care for people with diabetes. For the first section, the International Diabetes Federation published in 2009 the guideline for "Oral health for people with diabetes" [1] that states "Maintenance of proper oral hygiene for good oral health is an accepted part of the normal recommendations for a healthy lifestyle. Poor oral hygiene is associated with gingivitis, which can progress to more severe infection and inflammation leading to periodontitis. Infectious disease is known to be more common in people with diabetes if blood glucose control is poor, and inflammation is known to be associated with a decrease in insulin sensitivity and thus potentially a worsening of blood glucose control" [2] . It also gives 5 recommendations to the clinical care of the people with diabetes:

1) Enquire annually as to whether each person with diabetes follows local recommendations for day-to-day dental care for the general population, and (where access permits) attends a dental professional regularly for oral health check-ups.

2) Enquire at least annually for symptoms of gum disease (including bleeding when brushing teeth, and gums which are swollen or red).

3) In those people not performing adequate day-to-day dental care, remind them that this is a normal part of diabetes self-management, and provide general advice as needed. Advise those not attending for regular dental check-ups on the importance of doing so (where access permits).

4) In those people with possible symptoms of gum disease, advise them to seek early attention from a dental health professional.

5) Education of people with diabetes should include explanation of the implications of diabetes, particularly poorly controlled diabetes, for oral health, especially gum disease.

It is important to inform to the Wiki community about the importance of visiting the Dentist to avoid the adverse effects and complications of a non-controlled diabetes. Currently, at OECD level, very few countries count with recommendations and public health policies aimed to improve the oral health of people with diabetes [3], so this article could be a factor for change.

In addition to the second section, "Management", recently, a Cochrane Review synthesizing evidence from 30 trials (results from 2443 participants) showed that periodontitis treatment reduces blood sugar levels (measured by HbA1c) in diabetic patients on average by 0.43 percentage points (e.g. from 7.43% to 7%; 4.7 mmol/mol) 3 to 4 months after receiving the treatment compared with no active treatment or usual care. A difference of 0.30% (3.3 mmol/mol) was seen after 6 months (12 studies), and 0.50% (5.4 mmol/mol) at 12 months (one study) [4]. This reinforce the necessity to include some information about the urgency of dental care in people with diabetes. I really like to read your thoughts and suggestions about this!! Thank you! Chamaquitoso (talk) 20:26, 21 April 2023 (UTC)

Wikipedia is not a guidebook. If you shorten this a lot and make it encyclopedic, rather than medical advice, a section might be appropriate. IAmNitpicking (talk) 02:55, 23 April 2023 (UTC)

Thank you @IAmNitpicking, I've worked a little bit on a proposal for a section. Here it is:

Mouth diseases

People with diabetes are at increased risk for mouth diseases, particularly periodontal disease, the inflammation of gum and bone surrounding teeth. According to the International Diabetes Federation's guidelines, poor glycemic control can exacerbate gingivitis, which may progress to periodontitis. Periodontal conditions are not only more common in individuals with diabetes, but they can also negatively affect blood glucose control. [1][2]

Management of mouth problems in patients with diabetes

The management of oral health in people with diabetes includes regular dental check-ups and maintaining good oral hygiene practices. The International Diabetes Federation recommends annual dental evaluations and education as part of diabetes self-management. Patients with symptoms such as bleeding gums or swelling are advised to seek prompt dental care. Recent evidence supports the role of periodontal treatment in improving glycemic control, reducing glycated hemoglobin levels by an average of 0.43 percentage points after 3 to 4 months, with sustained improvements noted at 6 and 12 months [3]. This suggests that periodontal therapy could be a cost-effective complementary treatment in the management of diabetes [2]. Chamaquitoso (talk) 14:54, 6 February 2025 (UTC)

Adding link to the section of "hearing loss in diabetes" in the long term complications section

Consider adding a link to the wikipedia page on "Hearing loss in diabetes" in the complication section mentioning hearing loss as a complication of diabetes Wikihear (talk) 16:42, 4 July 2024 (UT